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Organization

TRANSPLANT AND NEPHROLOGY NORTHWEST PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLYNIS L THAKUR (ADMINISTRATOR)
(206) 709-2009
Entity
Organization

Contact information

Practice address
2150 N 107TH ST, SUITE 520, SEATTLE, WA 98133-1305
(206) 709-2009
(206) 709-2019
Mailing address
2150 N 107TH ST, SUITE 520, SEATTLE, WA 98133-1305
(206) 709-2009
(206) 709-2019

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7109598
WA
Enumeration date
06/25/2007
Last updated
06/18/2008
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